Individual
JENNIFER LEIGH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 E MAIN ST, SPARTANBURG, SC 29307-2230
(864) 573-5313
Mailing address
1751 E MAIN ST, SPARTANBURG, SC 29307-2230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43095
BOARD OF PHARMACY
SC
Enumeration date
09/05/2021
Last updated
09/05/2021
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